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AMERICAN VALLEY 132692 <br /> WASTE OIL; INC. voice.Number: <br /> P.O.Box 340 • Delhi; CA 95315 <br /> PH. 1-800-732-4645 • FAX 209-668-3880 <br /> EPA#CAL000627878 <br /> MORGAN AUTO Ri_P,AIR <br /> BILL TO: MORC-AN AUTO REPAIR JOB SM: 7710 MURRAY DR voice Date: <br /> 41Yl 1 I,3DU�RIAL WAY STOCKrON,CA 95205 ' <br /> TRACY,CA 95304 1M OIL <br /> Sales Rqs: MM 11 <br /> UBE13 <br /> Phone Customer P.O. Ter EPA# <br /> 206-336-4909 BILL t30e?ays CAL0003n 109 <br /> PRODUCT SHIPPING DESCRIPTION WASTE MANIFEST QUANTITY PRIC AMOUNT <br /> CODE <br /> NON-RCRA Waste Liquid Used OiVMixed Oils 221 <br /> NON-RCRA Waste Liquid Used Antifreeze 133 l <br /> NON-RCRA Waste Liquid Used Oily Water 223 <br /> Drained Used Oil Filters <br /> DUE TO THE DRASTIC FALL IN CRUDE OI' <br /> iPRICES,?AE HAVE BEEN FORCED TO CHA NGE <br /> PRIDING FOR WASN OIL A, D FPL f ER2 Pic K OF <br /> Sales Tax <br /> TERMS: lirvoices over 30Days are subject to a l.5%service charge. Customer agrees to pay all legal fees if court ac8on TOTAL <br /> becomes de 68 to collect this irnoice. <br /> Bysigning l herby certify that l have not mixed any of the waste described above with any other hazardous waste,the total halide content is LESS i han 1,000 ppm, <br /> and the waste does not contain any PCBs..I have complied with the requirements of the applicable California used oil management regulation to d terminethis is <br /> true.I agree to accept the additional charges for the disposal of this waste if the information 1 have provided about this waste Is Incorrect. <br /> I' <br /> Generators Certification:By signing 1 certify that if I am a large quantitygenerator,I certify that I have a program in place to reduce the volume an toxicityof waste <br /> generated to the degree I have detemllned to be economically affordable and that I have'selected the practicable method of treatment,storage,o disposal currently <br /> available to me which minimizes the present and future threat to human life and the environment:or,if I am a small quantity generator,l have m de a good faith <br /> effort to minimize my Waste generation and select the waste management method that is ave liable to me that I can afford. <br /> By both partes signing this invoice it will serve as an agreement that American Valley Waste Oil wlll submit confirmation for(certain waste stream )to the generator <br /> that their waste has been transported to a licensed treatment or transfer facility. <br /> GENERAMRt _ <br /> DRIVER / - AUTHORIZED r� ` / <br /> SIGNATURE: rte'' J!" DATE! SIGNATURE: • I ^–� ��— 1 <br /> ./ ATE: /.'- <br /> - r <br /> I <br /> DISPOSAL/ RECYCLING FACILITY ,l <br /> O DK-DIXON O CFR O UNITED ENTERPRISES CORP J <br /> 7300 CHEVRON WAY 2035 E.15TH ST.' 11190 PENROSE ST. - <br /> DIXON,CA 95620 LA,CA 90021 SUN VALLEY,CA 91352 - <br /> 707-693.6008 213.746.0237 _ 818-787-2649 <br /> EPA#CAT080012602 EPA#CAL000270577 EPA#CAL000379069 <br /> MPC(620131 <br />